S3 Singapore 2017 Keynote Lecture
Dr Peter Dieckmann - Handling Variation is a Good Thing - The Learning From Success Approach to Simulation.
Variations in approaches and deviations from guidelines are discussed in simulation practice, mostly in a negative sense as something to be avoided. However, actual clinical care is full of variations due to many different aspects, including specific patient characteristics, varying availability and quality of resources, or even dynamics in the treatment team.
Adapting to such variations and still delivering high quality care is a cornerstone of individual and organisational ability. Simulation can contribute to identifying strategies that work with such variations, to the benefit of patients. It can also discover the positive aspects of variability. This, however, requires a different use of simulation; not only focusing on rare negative events and errors, but also on common aspects of everyday practice.
This lecture lays the conceptual foundation for why it is a good idea to supplement the deficit-oriented approach to simulation with the "Learning From Good Performance" approach and also discusses practical implications to creating deep-going learning with this approach - reaching far beyond just a praising feast for good performance.
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